Healthcare Provider Details

I. General information

NPI: 1932364346
Provider Name (Legal Business Name): APARNA MADHAV AYYAGARI M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 08/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 INDEPENDENCE PKWY SUITE 200
PLANO TX
75025-4000
US

IV. Provider business mailing address

5425 W SPRING CREEK PKWY SUITE 200
PLANO TX
75024-4236
US

V. Phone/Fax

Practice location:
  • Phone: 972-596-9511
  • Fax: 972-599-9696
Mailing address:
  • Phone: 972-599-9600
  • Fax: 972-599-9696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN2307
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD435142
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberN2307
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: